By vgreene, 26 May, 2015 If no amox in 30 days, no hx amox-unresponsive recurrence, no purulent conjunctivitis: amoxicillin 80-90 mg/kg/day PO bid<sup>15</sup> [B/R]
By vgreene, 26 May, 2015 Observation: joint decision w/ caregiver; mechanism to ensure F/U + begin abx if worsens/fails to improve w/in 48-72 h of sx onset
By vgreene, 26 May, 2015 Prevention:<sup>12</sup> pneumococcal conjugate vaccination [B/SR] & annual influenza vaccination [B/R] per AAP schedule, exclusive breastfeeding for 1st 6 mo of life [B/R], avoidance of tobacco smoke [C/R].